不同饮食营养方式对急性重症脑血管病保守治疗患者短期预后的影响观察  

Effect Observation of the Short-term Prognosis of Different Nutrition Care for Acute Severe Cerebral Vascular Disease Patients with Conservative Treatment

作　　者：孙华伟[1] 

机构地区：[1]济南市槐荫人民医院,山东济南250021

出　　处：《中国医学创新》2015年第26期96-99,共4页Medical Innovation of China

摘　　要：目的:探讨早期肠内外营养护理对急性重症脑血管病保守治疗患者短期预后的影响。方法:选取2012年1月-2014年6月本院收治的150例急性重症脑血管病保守治疗患者,按照随机数字表法将其分为观察组、对照组A和对照组B,每组各50例。其中观察组给予早期肠内外营养护理,对照组A给予早期肠内营养,对照组B给予常规家庭喂养,观察时间为21 d。观察并对比三组治疗前及治疗后的营养状况:肱三头肌皮褶厚度(TSF)、上臂肌围(AMC)、甘油三酯(TG)、血清总蛋白(TP)、白蛋白(ALB)、血红蛋白(Hb);记录感染发生率,评价并对比治疗前后神经功能缺损(NIHSS评分)、日常生活能力(BI)。结果:三组治疗前的营养指标、NIHSS评分、BI指数比较差异均无统计学意义(P>0.05);三组治疗后的各营养指标较治疗前均明显下降,对照组B下降最明显,对照组A次之,观察组下降幅度最小,差异均有统计学意义(P<0.05);三组的感染发生率分别为12.00%、26.00%、36.00%,差异有统计学意义(字2=8.726,P=0.007);三组NIHSS治疗后评分分别为(11.51±2.68)分、(13.22±2.71)分、(14.48±2.55)分,差异有统计学意义(F=7.934,P=0.009);而三组BI指数比较差异无统计学意义(P>0.05)。结论:早期肠内外营养护理能够明显改善急性重症脑血管病保守治疗患者的营养状况,降低感染发生率,改善患者的短期预后。Objective： To investigate the effect of short-term prognosis of early enteral nutrition combined with parenteral nutrition for acute severe cerebral vascular disease patients with conservative treatment.Method： 150 acute severe cerebral vascular disease patients with conservative treatment from January 2012 to June 2014 were selected, they were divided into the observation group and the control group A and the control group B according to the random number table method, 50 cases in each group.The observation group was given early enteral nutrition combined with parenteral nutrition, the control group A was given early enteral nutrition, the control group B was given conventional family feeding, the observation time of the three groups was 21 days.The nutritional status： triceps skinfold （TSF）and arm muscle circumference （ AMC ）, triglyceride （ TG ）, serum total protein （ TP ）, albumin （ ALB ）, hemoglobin （ Hb ） were observed and compared.The incidence of the infection in the three groups were recorded.The nerve function defect （ NIHSS score ） and daily life ability ~ BI ） in the three groups before and after treatment were evaluated and compared. Result： There were no statistically significant differences in the nutrition index, NIHSS score, BI index of the three groups before treatment （ P〉0.05 ） .The various nutrition index of the three groups after treatment were significantly decreased than before treatment, the control group B bad.the greatest reduction, the control group A took second place, the observation group decreased minimum, the differences were statistically significant （ P〈0.05 ） .The incidence of infection respectively was 12.00%, 26.00%, 36.00%, the difference was statistically significant （ X2=8.726, P=0.007 ）, the NIHSS score after treatment respectively was （ 11.51 ± 2.68 ） scores, （ 13.22 ± 2.71 ） scores, （ 14.48 ± 2.55 ） scores, the difference was statistically significant （ F=7.934, P=0,009 ） .There was no statisticall

关 键 词：脑血管病保守治疗 肠内营养 肠外营养 短期预后 

分 类 号：R473.74[医药卫生—护理学]